Active NPI
Kenyatta Cowains, FNP-C
- Family Nurse Practitioner
- Olive Branch, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COWA-NINHNZ
- Practice address
- 9400 Goodman Rd Apt 3704
Olive Branch, MS 38654-1979 - Phone
- (662) 820-5769
- NPI assigned
- Sep 17, 2020
- Last updated
- Sep 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COWA-NINHNZ | MS | Primary |
Addresses
Primary practice location
9400 Goodman Rd Apt 3704
Olive Branch, MS 38654-1979
Mailing address
9400 Goodman Rd Apt 3704
Olive Branch, MS 38654-1979
Phone (662) 820-5769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1195 Church Rd W
Southaven, MS 38671-7144
Phone (662) 253-1067
4 Willow PT
Hattiesburg, MS 39402-1150
Phone (601) 582-6069
50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884
517 City Ave S
Ripley, MS 38663-2517
Phone (662) 587-8206
619 S State St
Clarksdale, MS 38614-6319
Phone (662) 966-1012
6244 Hwy 305 N
Olive Branch, MS 38654
Phone (662) 782-5024
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COWA-NINHNZ | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Family | Current | Accepting new patients |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Total Extended Care Services PC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients |
Locations
18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944
7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Hattiesburg, MS
- NPI 1689270142
-
- Physical Medicine & Rehabilitation Physician
- Englewood, OH
- NPI 1699522029
TN
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1770199523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 GOODMAN RD APT 3704",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386541979",
"telephone_number": "662-820-5769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 GOODMAN RD APT 3704",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386541979",
"telephone_number": "662-820-5769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAINS",
"first_name": "KENYATTA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "COWA-NINHNZ",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.